The aim of this cross-sectional study was to investigate the prevalence and characteristics of vocal cord dysfunction (VCD) in diabetic patients. Methods: A total of 200 diabetic patients (100 males, 100 females) aged 40-70 years were recruited from a diabetes clinic. All participants underwent a comprehensive assessment including medical history review, physical examination, and laryngoscopic evaluation. The presence of VCD was determined based on the observation of vocal cord dysfunction during laryngoscopy and the reported symptoms of vocal cord dysfunction. Results: Among the 200 diabetic patients, 25 individuals (12.5%) were diagnosed with vocal cord dysfunction. The prevalence of VCD was higher in females (15%) compared to males (10%). The mean age of patients with VCD was 56.3 years. The most common symptom reported by patients with VCD was dyspnea (68%), followed by hoarseness (48%) and throat tightness (36%). A significant association was found between VCD and the duration of diabetes (p < 0.05), with patients having a longer duration of diabetes being more likely to develop VCD. Conclusion: This study highlights the presence of vocal cord dysfunction in a significant proportion of diabetic patients. The higher prevalence of VCD in females and its association with the duration of diabetes suggest potential gender and disease-related factors influencing its development. Early recognition and management of VCD in diabetic patients can contribute to improved quality of life and better disease management. Further research is warranted to elucidate the underlying mechanisms and establish appropriate therapeutic interventions for this patient population.